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Vermont rates for HCPCS 86687

Antibody; HTLV-I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $141.25 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $10.23 / $13.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.41 / $22.91